Fernandez, Alfredo

Fernandez, Alfredo is an sole proprietor health care provider with primary practice located at 6101 Webb Rd Suite # 101, Tampa FL 33615-2872. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Fernandez, Alfredo can be contacted via phone (813) 496-9663.

Contact Information

Primary practice address
6101 Webb Rd Suite # 101 Tampa FL 33615-2872
Fax: (813) 496-9921
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME44443 Florida
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X ME44443 Florida

Profile Details

NPI number 1093829103
LBN Legal business name Fernandez, Alfredo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2006
Last updated Oct 2nd, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093829103 NPPES
Florida Other 30920 BCBS
Florida MEDICAID 043586400 BCBS

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